AARP Medicare Advantage Plan 2 (HMO)


Medicare Plan Details

2020 Plan
Monthly Premium
(select county for price)

 

by UnitedHealthcare
Additional Coverage
Hearing Vision Dental
Overall Government Star Rating
 4.0
out of 5 stars

State: Vermont

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C) with Prescription Drug (Part D)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B + Part D

 

$62
$39
$23
$0
$5,900 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

$0 copay
$40 per visit

Tests, labs, & imaging

$30
$10
$0-160
$25
$90 per visit (always covered)
$30-40 per visit (always covered)

Hospital Services

$390 per day for days 1 through 5
$0 per day for days 6 through 90
$0 per day for days 91 and beyond
$0-395 per visit

Skilled nursing facility

$0 per day for days 1 through 20
$160 per day for days 21 through 57
$0 per day for days 58 through 100

Preventive services

$0 copay

Ambulance

$250

Therapy services

$20
$20

Mental health services

$15
$25
$15
$25

Opioid treatment services

Covered

Other services

20% per item
20% per item
$0 per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseGap coverage phase1Catastrophic coverage phase
Preferred Generic$3.00 copay


Generic drugs :
$3.60 copay or 5% (whichever costs more)

Brand-name drugs :
$8.95 copay or 5% (whichever costs more)

Generic$12.00 copay$12.00 copay
Preferred Brand$47.00 copay
Non-Preferred Drug$100.00 copay
Specialty Tier30%
1 * The above cost-sharing only applies to some drugs on this tier. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.

Part B Drugs

20%
20%

Extra Benefits

Hearing

$0 copay
Not covered
$375-2,075

Preventive Dental

$0 copay
$0 copay
$0 copay
$0 copay

Comprehensive dental

Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered

Vision

$0 copay
$0 copay
$0 copay
Not covered
Not covered
Not covered

Other benefits

Limited coverage
Not covered
Not covered
Not covered
Not covered
Limited coverage
Limited coverage
 3.5
 4
 4
 3
 4
 5
 4.5
 5
 5
 2
 4

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